Healthcare and Medicine Reference
Likewise, the left side of the neck could use some more
In this case, the right SPL is shorter, pulling the head
into a right tilt, and pulling the left shoulder and ribs
around front toward the right hip.
The shoulders and arms will be helped by lifting the
chest and bringing the ribs forward and up to support
the shoulders, but the Front Arm Lines, Deep and Super-
ficial, will aid in this shift as well.
Here, core length is countered with core rigidity, so
opening the Deep Front Line from inner ankle to ante-
rior neck will help to open up the movement, bring the
pelvis back from its anterior tilt, and open the inner
tissues of the rib cage.
This structure shows remnants (and here we take a wild
leap at conjecture) of having been the proverbial '90-
pound weakling' when a child. Although now clearly
adult in both form and function, these remnants can be
seen in the arms, pelvis, and chest, and probably still
'run' this gentleman in subtle ways. The 'withdrawal'
of the chest and the size and weight of the head are
probably the most salient factors guiding this structure;
get the chest up and forward in an integrated way and
many of the rest of the factors will fall into place.
Client k (Fig. 11.12A-E)
This man with an ectomorphic tendency (big head, long
thin bones and long thin muscles) is nevertheless rela-
tively well muscled and presents with a gentle and
light-hearted demeanor. What balance he has achieved
could be augmented with some soft-tissue work.
From the side, the relatively good alignment (compared
to Client 3, for instance) nevertheless shows the same
pattern of a bow from heel to shoulder, counterbalanc-
ing the head forward posture. Another way of putting
this is that the head is over the pelvis and the shoulders
are over the heels. The pelvis is a bit anteriorly shifted
relative to the feet, and anteriorly tilted relative to the
femur. The rib cage is posteriorly shifted relative to both
head and pelvis, and a bit posteriorly tilted as well.
The scapulae both medially rotate strongly to bring
the glenum around to the front. Without this move, the
shoulders would be well behind the rest of the body.
Though there is relatively good right/left balance, we
can see some underlying compensations. The head tilts
to the right, while the neck tilts to the left. The shoulders
seem slightly tilted to the right as seen from the back.
The rib cage looks slightly tilted to the left, as does
the pelvis. The weight is clearly falling more on the
The legs themselves seem well balanced medial to
lateral, with a slight lateral shift in the knees, but not as
prominent as Client 3. The right leg rotates laterally at
Seen from above, there appears to be a mild left rota-
tion of the pelvis on the feet, and a corresponding
mild right rotation of the ribs on the pelvis, with the
shoulders going along for the ride. We can surmise,
then, that there must be a slight left rotation of the cer-
vicals to bring the eyes back into alignment with the
pelvis and feet.
The SFL must be lifted along its entire length, and the
SBL dropped. Much attention will be needed for the
chest, and under the costal arch, as well as the neck, to
allow the front of the ribs to lift, and thus in turn lift the
The LLs could be worked out from the waist, but
aside from making sure the abductors were a bit
longer, these are not central to the cause. The right SPL,
however, could use some attention to lengthen it away
from the predominant rotation.
The upper reaches of the pectoralis minor (DFAL)
and serratus anterior will need lengthening, as will the
rotator cuff of the DBAL - loosening the cuff muscles so
that the rhomboids and trapezius can tone up a bit to
retract the scapulae.
Lengthening the Deep Front Line structures will take
the remaining bow out of the legs, and help the pelvis
come back from its anterior tilt. More extensive work
(helped by a visceral approach) will allow the endotho-
racic mediastinal tissue to relent, allowing the ribs to
come up and support the head.
The SFL is pulled down in a classic way all along its
length, and the SBL correspondingly hiked up from
heels to shoulders. The SFL needs special attention
through the chest and neck areas, and in the SBL, the
suboccipitals call out for opening and differentiating.
(We know glasses are a factor here.)
The LLs are not much out of balance here, though the
abductors look short on both sides, especially the left.